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| Status and influence factors of postpartum depression of puerperae in 3 days after delivery |
| 1.Shanghai Pudong Hospital, Shanghai, 201399；2.Shanghai Seventh People's Hospital |
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Abstract To investigate the tatus and influence factors of postpartum depression (PPD)of puerperae. Methods: A total of 1998 puerperae form Shanghai Pudong Hospital and Shanghai Seventh People's Hospital within 3 days after delivery form January 2019 to January 2021 were selected. The status of PPD of the puerperae were investigated by the Edinburgh postpartum depression scale (EPDS), and logistic regression model was used to analyze the independent risk factors of PPD of the puerperae. Results: There were significant differences in the working status, the labor analgesia, the parity, the feeding pattern for the newborn, whether newborn gender conforming to the expectations of the family, the unplanned pregnancy, the accompanied delivery, the pregnancy complications, the levels of estradiol and progesterone in 2d after delivery, the maternal role adjustment questionnaire (MRAQ)score, the social support level, the negative life events during pregnancy and perinatal period, and whether learning during pregnancy of the puerperae between the two groups (P＜0.05). Logistic regression analysis showed that the puerperae without labor analgesia, the artificial feeding and mixed feeding for the newborn, the newborn gender sex unconforming to the expectations of the family, the unplanned pregnancy, the pregnancy complications, the low or middle levels of social support, the negative life events during pregnancy and perinatal period, and no learning during pregnancy of the puerperae were all the independent risk factors for their PPD (P＜0.05). Conclusion: The puerperae after delivery in this survey have a certain incidence of PPD, and the occurrence of their PPD is influenced by various comprehensive factors, which should be attention by society.
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